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Hello, my name is Stacey.

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I'm here with my partners Tony, Elvis, and Rob.

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The outside.

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So we are here from the FDNY EMS Academy, which is
in Bayside, Queens.

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We are instructors there, but what we do
specifically is we're part of the CPR unit, and we

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go around the five boroughs.

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It's a free service, and we teach people
compression-only CPR, right?

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Has anybody ever done a CPR class before in their
life?

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All right.

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So traditional CPR, the ones that you get
certified, is compressions, what we're gonna learn

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today, and the mouth-to-mouth, and they do a few
extra things as well, but that's a certification.

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Our program is not a certification, but it's a
good workshop.

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It's a life-saving skill.

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At the end of the day, you don't need a
certification to save somebody's life, so that's

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why we go around doing this.

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We're gonna have a short video to show the actual
steps of the compressions.

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I'll show you here live, and we have some
mannequins.

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We'll set them up on the outside.

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If anybody's interested to practice, you can go
ahead and do that when I show you guys, but if you

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don't do it today, we're gonna leave some cards.

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Our website's on there, and you can book us.

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It's free.

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We come to, I don't know, if you're part of a
church, an organization, a community center, and

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we'll teach you and your friends and family CPR,
okay?

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Yeah?

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Honestly, it depends.

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It depends.

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Really?

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Oh, wow.

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Try again.

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Sometimes people do it within two weeks, and
sometimes I've heard people, yeah, it depends on

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the schedule and the staff, I guess.

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All right, so the reason we go around doing this,
and it's a free service to the five boroughs, is

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early CPR is what's going to save somebody's life,
okay?

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The first minutes of somebody going into cardiac
arrest are the most critical minutes, all right?

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And what usually people do, you know, you call
911, but by the time an ambulance comes, nobody's

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really doing anything for various reasons.

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They're nervous.

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They don't know what to do.

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They're panicking, right?

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So we need people to step in immediately, start
compressions immediately, in order to give your

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loved one the best possible chance at survival,
okay?

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So that's the reason we're doing this.

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So I'm gonna start the first video, well, the only
video, just to see the actual compressions, and

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I'll show you and explain everything in detail
right after, okay?

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It's a short clip.

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Compressions only CPR.

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Recognize and act.

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Studies have shown the most effective tool that
increases survival in patients suffering from

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cardiac arrest is chest compressions.

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Cardiac arrest is when a person's heart stops
beating and they stop breathing.

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We must be able to identify that a person is in
need of chest compressions before we act.

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Chest compressions keep a person's blood
circulating throughout their body.

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If you witness a person collapse, do something,
take action.

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Be 911.

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This is Alan.

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Hello.

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He could be you, a bystander who'll help me show
you the steps you'll need to take in order to

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initiate compressions only CPR.

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CPR saves lives.

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I learned it, and now you will too.

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First, check to see if the person is responsive.

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Do this by tapping the person on both shoulders
and shouting continuously like this.

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Sir, sir, are you okay?

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Can you hear me?

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We want to make sure the person is not sleeping.

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If the person does not respond or wake up, we know
this person needs help.

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Next, immediately send someone to call 911.

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Point to someone and make sure the person you
shout to knows you want them to call 911.

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If possible, have someone attempt to locate an
automated external defibrillator.

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You, call 911 and get an AED.

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If no one is around, call 911 yourself.

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Now, if the person is not breathing or appears
only to be gasping, you need to begin chest

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compressions.

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Do this by finding the center of the person's
chest.

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The optimal location for chest compressions is in
the center of the chest, directly over the

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sternum.

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Use the heel of your dominant hand, place the
other hand on top like this and interlock your

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fingers like this and begin compressing the chest.

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Push hard and push fast.

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Keep your elbows locked.

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Keep your back straight and bend at the hips.

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You need to perform at least 100 compressions per
minute.

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Remember, the key is to push hard and push fast.

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Great job, Alan.

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That's exactly how it's done.

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Now, we will discuss some of the guidelines that
should be followed in order to perform the best

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chest compressions.

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Compression should be performed on the center of
the chest, pressing down hard and fast,

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approximately two inches deep for adults, which is
about halfway down on the chest.

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The victim must be on the floor when you do this.

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You may feel cracking under the person's skin due
to ribs being broken.

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This is a common occurrence and should not deter
you from continuing compressions.

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Broken ribs heal, but stopping compressions can
ensure death.

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The chest should be allowed to fully recoil or
allowed to return to its normal shape between each

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compression.

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Keep pressing on the chest and attempt to maintain
a rate of at least 100 per minute.

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The lyrics to the song, Let's Get It Started, and
many other songs follow a tempo of 100 beats per

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minute.

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Keep pressing on the chest until another person
that is trained in CPR takes over or there are

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signs of life.

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A little bit more detail so you understand as to
why we're doing certain things.

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We're not gonna just jump on somebody's chest and
start compressing just because they look like they

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passed out.

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Somebody who needs CPR has to be in something
called cardiac arrest.

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And cardiac arrest just means that the heart has
stopped.

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All right, thanks.

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That the heart has stopped and the breathing has
stopped.

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We only do CPR on people who are dead.

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If my heart stops and my breathing stops, what
does that make me?

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Dead, right?

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It sounds crazy, but we are trying to revive them.

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That's what CPR means.

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We're trying to revive them.

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So we have to check for that.

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So the first thing we're gonna do is if somebody
drops, right?

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And when I say somebody, yes, maybe you might be
able to help a stranger at some point in life, but

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the reality is, majority.

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Hey, that was me.

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Like I'm famous.

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So the reality is, if you ever have to do CPR in
your lifetime, which hopefully you never have to,

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it'll be on somebody that you know, all right?

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Over 70% of cardiac arrests happen at home.

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All right?

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So first step, if somebody's on the floor, where
they shouldn't be, you wanna try to wake them up.

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So you're gonna take both your hands and hit both
their shoulders.

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Tap them pretty hard.

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Are you okay?

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Are you all right?

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Wake up.

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Yeah, yeah.

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Well, tap hard.

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If you do a little light tap, nobody's gonna feel
that.

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You wanna see if they wake up or make a noise,
something, right?

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If they do not respond, your next step is to call
911.

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If you're by yourself, use your cell phone, put it
on speaker, and the dispatcher will guide you.

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The dispatcher will guide you through, right?

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But if you're in a group setting, tell somebody to
call 911 for you.

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But don't just yell, hey, somebody call 911.

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People are videotaping nowadays everything.

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People think maybe the person behind them is gonna
call 911.

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So point to somebody and give them the
responsibility.

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Like, hey, you with the MSK shirt, call 911,
right?

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Just something so they know, oh, that's me.

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I'm wearing that, you know?

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And have them acknowledge you.

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Also, I'm gonna go over this afterwards.

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If you know there's an AED available, and I'll
explain afterwards where they're usually

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available, you're gonna ask somebody to go get you
an AED as well.

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You don't have to open it now.

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Okay.

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I'll explain to you, you can put it on there.

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I'll explain to you afterwards where those are
located.

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But also ask somebody to get you an AED.

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The CPR, in addition with the AED, is gonna give
that person the best possible chance, okay?

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After you call 911, the dispatcher is also gonna
ask you, is this person awake and breathing?

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They say along those lines.

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Or regardless, you should always check if this
person's alive, if they're breathing.

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In the movies or people who have done CPR classes
before, that's the point where we check for the

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pulse, right?

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We check for the pulse and breathing at the same
time.

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For our class, just check for the breathing.

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Checking for a pulse is very difficult, especially
if you're panicking, especially if you're not

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trained to do it, or if you're not doing it on a
daily basis.

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So look at their chest.

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If your chest is rising and falling, that means
you're alive and breathing, right?

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If their chest is not rising and falling, they're
not breathing, and that's when we do compressions.

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So if some, there's a word called agonal
breathing.

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That's a gasping breath.

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Even if you see somebody gasping, not
hyperventilating, like a gasp, that is also a time

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to do CPR, okay?

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That means they're on their way out, and we need
to start compressions immediately.

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So you're gonna take the heel of your hand and
find the center of that person's chest, so the

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sternum, that flat bone in the middle of our
chest.

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Your other hand's gonna come over.

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You're gonna interlock your fingers.

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Normally, it would be on the floor, right?

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Even if somebody's in bed, on a couch, on a chair,
you find them unresponsive, bring them down to the

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floor.

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If we need to do CPR, they need to be on a firm
surface, okay?

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Something firm underneath their back so the floor
is the best.

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Uh-huh.

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Uh-huh.

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Yeah.

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Sorry.

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When my father passed, they had me bring him off
the bed, onto the floor, and I wasn't sure why

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they needed it, because, I mean, he was on a flat
surface, and then while I was on the phone with

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them, because my mom was short, I was doing the
chest compressions while on the phone, and my

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brother was doing the mouth-to-mouth.

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Didn't help, but at the time when we were saying
about the tapping shoulder, they didn't tell me to

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do that or check for the breathing or anything
like that, so I was confused on what really to do,

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so I'm trying not to go with what I see on TV
versus what the person on the phone is telling me,

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so I'm just trying to ignore the TV and just rely
on what they're saying, and it was struggling,

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because not knowing how much pressure to put down
and how many times, you don't think how many times

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is 100 times, so it's just, you wind up getting
confused,

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The pressure is very big, and they're on the bed,
and you're by yourself and you can't take them

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off.

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You can always put a board underneath their back.

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Okay?

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So, uh, where was I?

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Forgot.

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Oh, yeah, yeah, we're talking about, yeah, because
if you're on the mattress and you're doing CPR,

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you're gonna be bouncing around, right?

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You want to give that person the best quality CPR.

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So, uh, you're gonna interlock your fingers,
you're gonna strain out your elbows, right?

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Like I said, on the floor, it's gonna look more
efficient.

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And you're gonna compress two inches down, which
is when nobody carries a ruler, right, around with

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them.

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It's always gonna be halfway down the person's
chest.

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So the bigger the person, the more harder you're
gonna have to push.

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And a lot of people are always afraid, like, I
don't want to push too hard, I'm gonna hurt them.

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Most of the time, people don't push hard enough.

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You need to push hard.

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Okay?

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Yep.

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When they were showing the video, they were saying
something about keeping the elbows locked.

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Your elbows have to be completely locked, because
what you're doing is you're really pushing, moving

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with your waist.

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You're not moving with your arms bending up and
down.

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You want to move with your whole body, because we
need all that pressure.

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And we are doing between 100 to 120 compressions a
minute.

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That's a lot, right?

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That's about two compressions a second.

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And that's impossible to calculate in your head.

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So, they come up, yeah, there's songs, right?

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If you Google CPR songs, there's a whole bunch of
them.

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One of the most famous ones is Staying Alive.

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And which one?

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Okay.

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And when we teach students, they do Baby Shark.

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I don't know if anybody knows that song.

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But that's a CPR song, too.

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00:11:56,210 --> 00:12:00,950
So if you keep that tune in your head, you'll stay
in the proper tempo, and you're gonna be doing the

234
00:12:00,950 --> 00:12:02,070
correct amount of compressions.

235
00:12:02,070 --> 00:12:03,390
Because when you're nervous, what happens?

236
00:12:03,490 --> 00:12:04,210
You want to go quicker.

237
00:12:04,430 --> 00:12:06,470
You think, if I go quicker, I'm gonna save them
quicker.

238
00:12:06,710 --> 00:12:08,770
But you have to keep a steady pace, okay?

239
00:12:09,390 --> 00:12:14,330
So, let's say you're doing a good job, you're
doing CPR, we are not there yet, and this person

240
00:12:14,330 --> 00:12:15,330
starts breathing again.

241
00:12:15,750 --> 00:12:17,350
You don't want to leave them flat on their back.

242
00:12:17,450 --> 00:12:20,190
If fluids come up, anything comes up, they're
gonna end up choking on it.

243
00:12:20,190 --> 00:12:22,890
So, we're gonna put them in something called the
recovery position.

244
00:12:23,030 --> 00:12:27,210
So, one hand goes on the shoulder, one hand on the
waist, and you roll them onto their side.

245
00:12:27,550 --> 00:12:28,550
Either side is fine.

246
00:12:29,110 --> 00:12:32,830
Just, obviously, if you roll them closer to you,
which is actually, I mean, towards you, which is

247
00:12:32,830 --> 00:12:33,310
easier.

248
00:12:33,750 --> 00:12:36,290
If they vomit, just don't drop them, right?

249
00:12:36,350 --> 00:12:37,750
Because they're gonna vomit on your vans.

250
00:12:38,490 --> 00:12:40,330
But I guess that's the least of our problems,
right?

251
00:12:40,330 --> 00:12:41,590
You're just happy that that person's alive.

252
00:12:42,070 --> 00:12:45,810
So, always keep an eye on their chest when you
have them in recovery position, because they might

253
00:12:45,810 --> 00:12:50,330
go back into cardiac arrest, which, at that point,
you're gonna put them back down and continue

254
00:12:50,330 --> 00:12:51,570
compressions, okay?

255
00:12:53,430 --> 00:12:54,090
Simple, right?

256
00:12:57,710 --> 00:13:03,750
What happens, like, if the person who needs CPR
has, like, obstructive airways, or, like,

257
00:13:03,790 --> 00:13:08,230
something that you can't visibly see, but, like,
there's something in their mouth, like, vomit or

258
00:13:08,230 --> 00:13:12,250
something, like, what do you do in that moment if
you need to do the mouth-to-mouth?

259
00:13:15,370 --> 00:13:19,030
So, I wouldn't recommend doing mouth-to-mouth with
vomit in somebody's.

260
00:13:19,590 --> 00:13:22,650
The reality, so, like I said, what we teach is
just compression only.

261
00:13:22,990 --> 00:13:26,810
If you don't know how to do mouth-to-mouth, if you
were not trained for it, don't, okay?

262
00:13:27,170 --> 00:13:30,350
Straight compressions is good enough until we get
there.

263
00:13:30,770 --> 00:13:35,070
Now, if you know how to do the mouth-to-mouth and
do the breathing, and it's your family member, you

264
00:13:35,070 --> 00:13:38,270
don't care if you have a barrier device or
anything like that, the best thing you can,

265
00:13:38,290 --> 00:13:41,430
because we have suction devices, we always have
devices for things, the best thing you can

266
00:13:41,430 --> 00:13:46,730
possibly maybe do is maybe try to turn them over a
little bit, maybe drain out, but, at that point,

267
00:13:46,810 --> 00:13:50,430
the dispatcher will guide you through if you tell
him that information, or him or her that

268
00:13:50,430 --> 00:13:51,390
information, okay?

269
00:13:52,240 --> 00:13:54,450
So, anybody wanted to practice?

270
00:13:56,350 --> 00:13:58,550
If anybody wants to practice, come outside.

271
00:13:59,570 --> 00:14:00,690
Can you get some mannequins?

272
00:14:22,040 --> 00:14:28,380
All right, so, while they're doing the practice,
I'm going to show you how to use the AED, okay,

273
00:14:28,440 --> 00:14:29,200
and where it's located.

274
00:14:32,280 --> 00:14:36,740
So, an AED stands for automated external
defibrillator, okay?

275
00:14:37,000 --> 00:14:39,420
So, anybody heard of a pacemaker before?

276
00:14:39,600 --> 00:14:40,480
Some people have.

277
00:14:40,860 --> 00:14:42,240
That's an internal defibrillator.

278
00:14:42,660 --> 00:14:45,080
This is an external defibrillator, okay?

279
00:14:45,340 --> 00:14:48,960
So, again, this is only used on people who are in
cardiac arrest.

280
00:14:49,700 --> 00:14:51,720
It doesn't replace CPR.

281
00:14:52,520 --> 00:14:54,260
We put it together, if available.

282
00:14:54,540 --> 00:14:55,840
They're not always available, right?

283
00:14:56,140 --> 00:14:59,580
When you call 911, we bring one to every call,
because you never know what happens.

284
00:15:00,120 --> 00:15:01,420
People don't usually have this at home.

285
00:15:01,480 --> 00:15:03,120
You're able to purchase if you'd like to.

286
00:15:03,920 --> 00:15:08,180
It's not only for medical personnel, but normally
people don't carry these at home.

287
00:15:09,100 --> 00:15:15,140
So, these are located, they have to, have to, have
to be at all schools, private or public.

288
00:15:15,460 --> 00:15:16,600
There has to be AEDs there.

289
00:15:17,040 --> 00:15:24,120
When the students are in teams, whether they, you
know, practice games, the coach always has to have

290
00:15:24,120 --> 00:15:25,200
one with them, and why is that?

291
00:15:25,260 --> 00:15:28,200
Because cardiac arrest is for all ages, right?

292
00:15:28,240 --> 00:15:32,400
It happens to younger children, it happens to the
elderly, it happens to middle-aged, all ages,

293
00:15:32,500 --> 00:15:32,640
right?

294
00:15:32,640 --> 00:15:34,140
You never know what's going on.

295
00:15:34,180 --> 00:15:36,700
It can either be something medical, or it can be
something traumatic.

296
00:15:36,880 --> 00:15:39,720
Maybe a bad car accident, somebody goes into
cardiac arrest, right?

297
00:15:40,060 --> 00:15:40,740
The heart stops.

298
00:15:40,740 --> 00:15:47,640
So, these always, not always, but some restaurants
have them, they don't have to have them, but some

299
00:15:47,640 --> 00:15:47,900
do.

300
00:15:48,760 --> 00:15:57,220
Anything that is open to the public, like malls,
stadiums, concert halls, like Madison Square

301
00:15:57,220 --> 00:15:59,600
Garden, for example, they have to have an AED
available.

302
00:16:00,040 --> 00:16:03,440
Anything open to the public, where there's a lot
of people, they have to have this.

303
00:16:03,520 --> 00:16:04,960
Public parks, right?

304
00:16:05,380 --> 00:16:09,500
Sometimes the place is so huge, you really don't
know where it might be, but that's why we say,

305
00:16:09,760 --> 00:16:12,320
tell somebody, go get one for you, if available.

306
00:16:12,320 --> 00:16:15,280
So, these machines, say it again?

307
00:16:16,220 --> 00:16:16,760
Yep.

308
00:16:18,680 --> 00:16:22,500
And there's always staff on there that are CPR
certified as well.

309
00:16:23,340 --> 00:16:27,560
So, these are extremely easy to use, okay?

310
00:16:27,960 --> 00:16:30,960
They might look a little bit different, but they
all do exactly the same thing.

311
00:16:30,960 --> 00:16:35,160
If you're gonna remember anything from this
device, is turn it on.

312
00:16:35,760 --> 00:16:40,620
Once you get it, turn it on, because it's gonna
tell you step by step what to do, alright?

313
00:16:40,980 --> 00:16:46,320
So, ours, we have a green button on top, which
they're all gonna be green, it's an on and off

314
00:16:46,320 --> 00:16:50,280
button, but once you turn it on, don't turn it
off, just let it go.

315
00:16:50,280 --> 00:16:56,820
The bottom one is an orange button, that's a shock
button, and only when that button is flashing are

316
00:16:56,820 --> 00:17:02,320
you able to shock somebody, and in the middle
here, where the square is, on real AEDs, most of

317
00:17:02,320 --> 00:17:06,780
them, there's a screen, so whatever it's telling
you to do, it'll be showing you pictures as well,

318
00:17:07,280 --> 00:17:07,500
okay?

319
00:17:07,740 --> 00:17:11,480
So, it's basically gonna guide you through how to
properly place the AED on somebody.

320
00:17:13,340 --> 00:17:22,180
So, the AED consists of AED pads, so the pads have
our stickers, basically, anybody ever done EKG

321
00:17:22,180 --> 00:17:22,440
before?

322
00:17:22,760 --> 00:17:24,700
Something similar, but it's just two pads.

323
00:17:25,640 --> 00:17:30,900
They have pictures on them of how our mannequin
looks, like half a body, and there's arrows, so

324
00:17:30,900 --> 00:17:34,600
the arrows will tell you where to place the pads
on the chest, and this is the proper placement.

325
00:17:34,600 --> 00:17:39,320
It doesn't have to be exact and exact, just in
this area, and in this area, okay?

326
00:17:40,640 --> 00:17:44,740
So, I guess now we'll turn on the AED, so you guys
can see how it works.

327
00:17:47,100 --> 00:17:48,900
Maybe take it off completely, though.

328
00:17:57,000 --> 00:18:04,670
So, the first step, pads, and if you didn't hear
it, or you're nervous, or it's too loud, this

329
00:18:04,670 --> 00:18:05,830
machine keeps repeating itself.

330
00:18:08,010 --> 00:18:11,990
So, the connector is gonna be flashing for you.

331
00:18:12,230 --> 00:18:15,670
There's no other place you can plug it in, but
it's gonna flash for you, so you can do it as

332
00:18:15,670 --> 00:18:17,350
quickly and as effectively as possible.

333
00:18:26,820 --> 00:18:29,060
Do not touch the patient.

334
00:18:29,660 --> 00:18:34,860
At that point, if anybody's near the patient,
touching the patient, back up, tell them to clear.

335
00:18:37,000 --> 00:18:37,720
Charging.

336
00:18:37,720 --> 00:18:39,860
Stay clear of patient.

337
00:18:40,380 --> 00:18:41,800
Clear, clear.

338
00:18:42,220 --> 00:18:43,940
Deliver shock now.

339
00:18:44,160 --> 00:18:45,940
Press the orange button now.

340
00:18:45,940 --> 00:18:52,420
So, the machine is gonna start, charge up, start
flashing, but before you press that button, look

341
00:18:52,420 --> 00:18:55,860
at the patient again, yell clear, and then you're
gonna press it.

342
00:18:57,440 --> 00:18:58,260
Clear, clear.

343
00:18:58,320 --> 00:18:58,920
Everybody clear.

344
00:18:59,060 --> 00:18:59,520
I'm clear.

345
00:18:59,640 --> 00:19:00,360
Everybody's clear.

346
00:19:00,880 --> 00:19:01,740
Shock delivered.

347
00:19:02,960 --> 00:19:03,560
Paused.

348
00:19:04,860 --> 00:19:07,980
If no signs of circulation, start CPR.

349
00:19:08,640 --> 00:19:12,380
So, it said if no signs of circulation, start CPR.

350
00:19:12,520 --> 00:19:14,320
That means, look at them.

351
00:19:14,560 --> 00:19:15,180
Are they breathing?

352
00:19:15,360 --> 00:19:16,020
Are they moving?

353
00:19:16,240 --> 00:19:17,220
Any signs of life?

354
00:19:17,400 --> 00:19:19,360
If not, we're continuing compressions.

355
00:19:19,800 --> 00:19:25,240
Now, if they are breathing after that shock, and
they're showing signs of life, we're gonna roll

356
00:19:25,240 --> 00:19:27,700
them over and put them in recovery position, like
I said before.

357
00:19:28,920 --> 00:19:30,040
It's as simple as that.

358
00:19:30,060 --> 00:19:32,320
The hardest part of all of this is staying calm.

359
00:19:33,580 --> 00:19:35,520
The machine tells you exactly what to do.

360
00:19:35,840 --> 00:19:38,580
The skill itself, the CPR, is a very simple skill.

361
00:19:39,820 --> 00:19:41,620
It's just, you gotta keep calm.

362
00:19:42,040 --> 00:19:45,660
The best you can, obviously, because when it's
your family member, it's hard to keep calm.

363
00:19:46,440 --> 00:19:51,100
Any questions on the actual CPR that we talked
about before, or the AED?

364
00:20:00,580 --> 00:20:01,620
Inside their body?

365
00:20:01,700 --> 00:20:01,800
No.

366
00:20:01,960 --> 00:20:03,680
Or even, sometimes people have piercings.

367
00:20:04,160 --> 00:20:09,800
Oh, so the question was, if somebody has anything
electronic inside their body, right, would it be

368
00:20:09,800 --> 00:20:12,000
harmful for them to shock that person?

369
00:20:12,340 --> 00:20:13,180
And the answer is no.

370
00:20:15,040 --> 00:20:17,040
We have people that have pacemakers.

371
00:20:17,400 --> 00:20:18,300
That's an electronic.

372
00:20:18,780 --> 00:20:21,120
We still have to use this device if they're in
cardiac arrest.

373
00:20:21,880 --> 00:20:24,200
There's no contraindication to using this device.

374
00:20:24,500 --> 00:20:25,400
Or CPR.

375
00:20:26,400 --> 00:20:28,380
Even on the external of the body.

376
00:20:28,380 --> 00:20:30,420
So, one thing I didn't mention before.

377
00:20:31,260 --> 00:20:35,420
When using the AED, waist up, everything has to
come off, and that's bra included.

378
00:20:35,940 --> 00:20:42,140
We don't want nothing interfering with us placing
the pads properly, or analyzing the heart.

379
00:20:42,620 --> 00:20:44,080
We don't want anything interfering with that.

380
00:20:44,180 --> 00:20:45,720
The pads have to stick on the skin.

381
00:20:46,880 --> 00:20:49,300
Let's say somebody has a very hairy chest.

382
00:20:50,940 --> 00:20:53,300
These pads might not stick to the chest properly.

383
00:20:53,300 --> 00:20:56,600
So, the AEDs usually come with a razor.

384
00:20:57,220 --> 00:20:59,560
And that razor is to shave their chest.

385
00:20:59,660 --> 00:21:02,160
We're not shaving their whole body, alright, and
their legs.

386
00:21:02,500 --> 00:21:04,040
Just these two spots.

387
00:21:04,200 --> 00:21:07,100
Just so we can be able to place the pads on the
two sections.

388
00:21:08,420 --> 00:21:10,420
Do not touch the patient.

389
00:21:10,680 --> 00:21:13,580
So, this machine re-analyzes every two minutes.

390
00:21:14,100 --> 00:21:15,560
So, let's say you're still doing CPR.

391
00:21:15,560 --> 00:21:17,380
And close it.

392
00:21:17,620 --> 00:21:19,780
In two minutes, it'll tell you again.

393
00:21:20,160 --> 00:21:23,660
Analyzing the heart, stop touching the patient,
and check to see if this person needs to be

394
00:21:23,660 --> 00:21:24,240
shocked or not.

395
00:21:24,740 --> 00:21:24,900
Alright?

396
00:21:26,220 --> 00:21:30,080
Sometimes, you might not shock a person not once,
until we get there.

397
00:21:30,160 --> 00:21:32,800
Or you might shock them three times, or four
times, until we get there.

398
00:21:35,960 --> 00:21:39,340
So, the question is, what is the maximum number of
times?

399
00:21:39,600 --> 00:21:40,460
There is no maximum.

400
00:21:40,920 --> 00:21:43,260
If the machine's telling you to shock, you're
gonna shock.

401
00:21:43,700 --> 00:21:45,140
Hopefully, you're not there for too long.

402
00:21:45,220 --> 00:21:47,100
If you call 911, we should be there fast.

403
00:21:47,200 --> 00:21:50,040
This call for us, a cardiac arrest, is priority
one.

404
00:21:50,460 --> 00:21:52,140
If somebody's not breathing, that's a priority.

405
00:21:52,760 --> 00:21:53,960
We have to get there as quick as possible.

406
00:21:54,260 --> 00:21:57,680
But even if we get there the best time possible,
five minutes, let's say we get there within five

407
00:21:57,680 --> 00:22:03,500
minutes, the brain cells begin to die within four
to five minutes without circulation.

408
00:22:04,080 --> 00:22:06,120
So, that's how quickly the brain cells start to
die.

409
00:22:06,400 --> 00:22:09,460
That's why we go around teaching compression, at
least compression-only CPR.

410
00:22:10,020 --> 00:22:12,760
When you're pressing on somebody's chest, you're
circulating their blood.

411
00:22:13,320 --> 00:22:14,920
And it's going to the vital organs.

412
00:22:19,040 --> 00:22:23,820
Once you get into cardiac arrest, within four to
five minutes, your brain cells begin to die

413
00:22:23,820 --> 00:22:25,180
without circulation in the body.

414
00:22:26,660 --> 00:22:28,400
And they're not coming back.

415
00:22:29,200 --> 00:22:31,480
Those cells, once they die, you can't get them
back.

416
00:22:32,200 --> 00:22:34,000
So, that's why it's so important we start early.

417
00:22:34,860 --> 00:22:36,880
Early, early CPR is what's gonna save people's
lives.

418
00:22:37,260 --> 00:22:38,740
I don't know if anybody watches football.

419
00:22:39,380 --> 00:22:43,520
Was it a year ago or two years ago when the NFL
player went into cardiac arrest?

420
00:22:44,580 --> 00:22:46,700
He's young, athletic, right?

421
00:22:47,000 --> 00:22:47,860
In shape.

422
00:22:48,420 --> 00:22:49,940
But it wasn't a medical for him, right?

423
00:22:49,940 --> 00:22:50,460
It was a trauma.

424
00:22:50,840 --> 00:22:51,340
The ball hit him.

425
00:22:51,600 --> 00:22:54,160
So, the ball hit him the wrong way and he went
into cardiac arrest.

426
00:22:54,280 --> 00:22:58,620
What saved him is early CPR and the early use of
the AED.

427
00:22:59,440 --> 00:23:00,180
That's what saved him.

428
00:23:00,560 --> 00:23:01,800
And he got shocked two times.

429
00:23:02,800 --> 00:23:02,940
Right?

430
00:23:05,080 --> 00:23:05,900
Yeah, he came back.

431
00:23:06,020 --> 00:23:06,380
Thankfully.

432
00:23:07,400 --> 00:23:07,740
Yep?

433
00:23:11,110 --> 00:23:14,590
So, the question is, is there any after effects of
using the AED on a person?

434
00:23:16,130 --> 00:23:19,450
Hopefully, come back to life, which is a positive
after effect, right?

435
00:23:20,610 --> 00:23:22,310
Maybe sometimes a little burn, right?

436
00:23:22,490 --> 00:23:23,830
But nothing major.

437
00:23:24,130 --> 00:23:24,710
Nothing major.

438
00:23:27,010 --> 00:23:30,830
One, I don't want to say it's major, but you saw
how hard he was compressing, right?

439
00:23:31,010 --> 00:23:32,010
In the middle of the chest.

440
00:23:32,170 --> 00:23:33,710
Do you think maybe the ribs might break?

441
00:23:34,710 --> 00:23:35,650
That's not the goal.

442
00:23:35,970 --> 00:23:39,170
The goal is not to break the ribs, but it might
happen, right?

443
00:23:39,170 --> 00:23:41,610
Maybe somebody has a bone problem.

444
00:23:42,170 --> 00:23:42,970
They're elderly.

445
00:23:43,830 --> 00:23:47,270
There's a million reasons why somebody's bones
might be brittle.

446
00:23:47,690 --> 00:23:48,530
You keep going.

447
00:23:49,130 --> 00:23:49,850
You keep going.

448
00:23:49,990 --> 00:23:54,350
If you stop compressions, because you're afraid,
like, oh my God, I broke their ribs.

449
00:23:54,510 --> 00:23:55,490
I killed them.

450
00:23:55,990 --> 00:23:56,570
Remember what I said?

451
00:23:56,670 --> 00:23:57,950
They're dead already, number one.

452
00:23:58,470 --> 00:24:01,870
But number two, if you stop compressions, you're
not giving them any chance at that point.

453
00:24:02,330 --> 00:24:03,490
They're just going to stay dead.

454
00:24:04,090 --> 00:24:04,210
Yep?

455
00:24:04,210 --> 00:24:11,670
As we were practicing out there, even now, I can
still feel pain in my back.

456
00:24:12,150 --> 00:24:16,770
As a person that's doing the compressions on a
person, you said we're not supposed to stop.

457
00:24:16,790 --> 00:24:21,510
But what happens if the person who's doing the
chest compressions, and they get tired, they get

458
00:24:21,510 --> 00:24:23,350
winded, or a back injury occurs?

459
00:24:23,550 --> 00:24:25,030
What do we do in that moment?

460
00:24:25,290 --> 00:24:27,130
Great question.

461
00:24:27,690 --> 00:24:28,370
Everybody heard it, right?

462
00:24:28,710 --> 00:24:30,310
I was going to repeat it, but I forgot you had the
microphone.

463
00:24:30,310 --> 00:24:33,970
So this is unlimited, the CPI, right?

464
00:24:34,170 --> 00:24:36,070
You go until, hopefully, they wake up.

465
00:24:36,330 --> 00:24:39,550
You go until we arrive, or any help arrives,
really.

466
00:24:39,730 --> 00:24:42,970
If somebody's just passing by and they're willing
to help you, even if they've never done this

467
00:24:42,970 --> 00:24:43,810
before, show them.

468
00:24:44,030 --> 00:24:44,870
Put your hands here.

469
00:24:45,230 --> 00:24:47,190
I showed you in, like, two seconds where to place
the hands.

470
00:24:47,490 --> 00:24:48,750
Put your hands here and keep pushing.

471
00:24:48,950 --> 00:24:49,450
Take a break.

472
00:24:49,790 --> 00:24:53,350
But if you're by yourself, you don't want to be
the next one on the floor.

473
00:24:53,750 --> 00:24:54,770
Give yourself a break.

474
00:24:55,290 --> 00:24:56,390
People have medical conditions.

475
00:24:56,950 --> 00:24:58,270
You just get exhausted.

476
00:25:00,310 --> 00:25:00,450
Take a break.

477
00:25:00,510 --> 00:25:02,790
If you're able to go back and do compressions,
great.

478
00:25:03,010 --> 00:25:04,710
If not, just wait for us to come.

479
00:25:04,850 --> 00:25:05,990
Make sure you call 911.

480
00:25:06,690 --> 00:25:06,870
Yep.

481
00:25:09,820 --> 00:25:16,720
I'm on the board at my senior center, and
unfortunately, many of my seniors could not come

482
00:25:16,720 --> 00:25:18,620
out for an event like this.

483
00:25:19,040 --> 00:25:24,540
So my question is, will you guys be willing and
able to come out to my senior center?

484
00:25:25,040 --> 00:25:25,820
Thank you.

485
00:25:32,700 --> 00:25:33,240
So...

486
00:25:34,860 --> 00:25:41,420
We're going to leave some cards here if you want
to pick it up, but there's a website.

487
00:25:41,580 --> 00:25:44,140
I know everything's done by website nowadays, but
there's a website.

488
00:25:44,360 --> 00:25:50,320
It's fdnysmart.org, and you go to Community
Affairs and you look for the CPR unit.

489
00:25:50,580 --> 00:25:54,560
The other option is Fire Safety where they talk
about fire safety, if you can book that, too.

490
00:25:54,780 --> 00:25:59,720
They're both free services, and we will come out
to anywhere in the five boroughs and teach

491
00:25:59,720 --> 00:26:01,000
everyone CPR.

492
00:26:01,700 --> 00:26:02,240
And it's free.

493
00:26:03,240 --> 00:26:03,420
Yep.

494
00:26:04,800 --> 00:26:05,680
Let me give you the microphone.

495
00:26:09,720 --> 00:26:13,940
Okay, do y'all perform CPR when a person has a
stroke?

496
00:26:16,220 --> 00:26:19,720
So the question is, do we perform CPR on somebody
who has a stroke?

497
00:26:20,240 --> 00:26:24,380
If somebody had a stroke and they went into
cardiac arrest, they're not breathing, yes, we

498
00:26:24,380 --> 00:26:24,600
will.

499
00:26:24,860 --> 00:26:28,600
But we don't perform CPR just because somebody is
having a stroke.

500
00:26:29,140 --> 00:26:33,040
If somebody's having a stroke, it doesn't mean
automatically they stop breathing.

501
00:26:33,200 --> 00:26:34,060
They can still be alive.

502
00:26:35,860 --> 00:26:36,040
They're not having a heart attack.

503
00:26:36,040 --> 00:26:39,320
Just because somebody's having a heart attack
doesn't mean that automatically they're in cardiac

504
00:26:39,320 --> 00:26:39,680
arrest.

505
00:26:40,060 --> 00:26:43,540
It's a medical emergency, but they're still alive.

506
00:26:43,640 --> 00:26:44,040
They're breathing.

507
00:26:44,460 --> 00:26:48,880
Some patients that I've had, they were having a
heart attack, but they didn't even realize until

508
00:26:48,880 --> 00:26:51,220
we put the EKG on their chest.

509
00:26:52,920 --> 00:26:56,400
So the only time we do CPR is you have to make
sure that they're not breathing.

510
00:26:56,940 --> 00:26:59,760
If they're not breathing, most likely they are not
alive.

511
00:27:00,220 --> 00:27:00,860
And I say most likely

512
00:27:05,860 --> 00:27:06,700
because I can show you that.

513
00:27:07,200 --> 00:27:11,900
But if somebody's not breathing, inevitably their
pulse is going to stop if it's not already

514
00:27:11,900 --> 00:27:12,240
stopped.

515
00:27:16,220 --> 00:27:22,500
When you do the pulse, you do it neck and you do
it here also?

516
00:27:23,640 --> 00:27:27,300
So for CPR, we check the carotid pulse and the
neck.

517
00:27:27,540 --> 00:27:29,140
That's the pulse we look for.

518
00:27:30,560 --> 00:27:31,760
Any other questions?

519
00:27:33,260 --> 00:27:34,240
Somebody's not breathing.

520
00:27:34,240 --> 00:27:38,380
If someone's not breathing, they're automatically
dead if they're not breathing?

521
00:27:39,060 --> 00:27:40,740
Technically, no.

522
00:27:40,920 --> 00:27:41,780
I can't say technically.

523
00:27:42,480 --> 00:27:47,020
If somebody's not breathing and their heart has
stopped, technically in that moment they are dead.

524
00:27:48,920 --> 00:27:56,640
Now when it comes to just breathing, if they just
stop breathing, we are going to assume yes in this

525
00:27:56,640 --> 00:27:57,400
course that we're doing.

526
00:27:57,920 --> 00:28:04,380
Because if they're not breathing and if you're
not, if 911 is not there to help assist with

527
00:28:04,380 --> 00:28:07,960
oxygen, with everything, their heart will stop at
the same time.

528
00:28:08,460 --> 00:28:09,960
Not the same time, or soon after that.

529
00:28:10,460 --> 00:28:15,260
So we are going to still start compressions early
if their chest is not rising.

530
00:28:17,060 --> 00:28:18,460
This is for our course.

531
00:28:18,740 --> 00:28:23,000
Now if you take the certification, they're going
to teach you check for pulse and breathing at the

532
00:28:23,000 --> 00:28:23,520
same time.

533
00:28:27,240 --> 00:28:33,260
Yeah, yeah, the American Heart Association is
doing a certification class.

534
00:28:33,640 --> 00:28:36,260
It's the Red Cross or the American Heart
Association.

535
00:28:37,400 --> 00:28:38,600
Usually you go, oh, you guys are Red Cross?

536
00:28:38,820 --> 00:28:39,700
I didn't know that, right?

537
00:28:40,120 --> 00:28:41,000
This is what I usually say.

538
00:28:41,040 --> 00:28:44,140
You go on the website, you put the zip code and
you see who's holding classes in your neighborhood

539
00:28:44,140 --> 00:28:45,660
or wherever you want to do the classes.

540
00:28:46,540 --> 00:28:46,780
Okay?

541
00:28:47,840 --> 00:28:48,620
Any other questions?

542
00:28:50,300 --> 00:28:50,660
No?

543
00:29:01,820 --> 00:29:04,080
I had this class maybe about 10 times.

544
00:29:04,560 --> 00:29:04,700
Okay.

545
00:29:05,020 --> 00:29:05,620
Yeah, yeah.

546
00:29:06,060 --> 00:29:07,940
Normally it's like, hey, hey, are you okay?

547
00:29:08,060 --> 00:29:08,720
Are you all right?

548
00:29:09,260 --> 00:29:12,740
You're trying to wake them up any way possible,
whether you're talking to them, hitting them on

549
00:29:12,740 --> 00:29:13,320
their shoulders.

550
00:29:16,180 --> 00:29:20,500
It's not the same for somebody who's choking,
right?

551
00:29:20,580 --> 00:29:20,840
Choking?

552
00:29:21,640 --> 00:29:22,080
No.

553
00:29:22,600 --> 00:29:23,420
Somebody who's choking

554
00:29:31,820 --> 00:29:33,640
but I think they're changing out to abdominal
thrust.

555
00:29:35,340 --> 00:29:36,000
Oh, no.

556
00:29:36,260 --> 00:29:38,880
We don't teach choking.

557
00:29:39,040 --> 00:29:41,600
We don't teach anything other than chest
compressions.

558
00:29:42,640 --> 00:29:46,200
I mean, I can practice on my partner over here
maybe.

559
00:29:47,740 --> 00:29:48,740
He just ate lunch.

560
00:29:48,780 --> 00:29:49,720
I don't think anybody wanted that.

561
00:29:50,020 --> 00:29:53,040
Okay, I think we have time for one final question
if there is one.

562
00:29:54,520 --> 00:29:55,400
Anybody else?

563
00:30:01,820 --> 00:30:03,460
What is an abdominal thrust?

564
00:30:04,000 --> 00:30:04,920
It's the Heimlich maneuver.

565
00:30:05,420 --> 00:30:06,940
The Heimlich when somebody's choking.

566
00:30:07,280 --> 00:30:14,320
So basically, when you do the Heimlich on
somebody, you're basically under their diaphragm

567
00:30:14,320 --> 00:30:19,600
and you're kind of pushing in and up at the same
time because you're trying to push that air to

568
00:30:19,600 --> 00:30:22,940
bring that object out, hopefully.

569
00:30:24,300 --> 00:30:30,040
Yeah, but I have to look it up, but I'm pretty
sure somebody had told me when we were in the

570
00:30:30,040 --> 00:30:34,260
academy that I, if you guys know, they don't call
it the Heimlich anymore because there was a

571
00:30:34,260 --> 00:30:36,940
problem with the name or whatever and now it's
called abdominal thrust.

572
00:30:37,440 --> 00:30:40,980
It's literally just explaining the Heimlich
maneuver is you're hitting the abdomen and pushing

573
00:30:40,980 --> 00:30:41,300
upwards.

574
00:30:41,860 --> 00:30:42,020
Yeah.

575
00:30:43,660 --> 00:30:44,440
Anybody else?

576
00:30:44,680 --> 00:30:44,880
Good.

577
00:30:45,640 --> 00:30:45,860
All right.

578
00:30:45,860 --> 00:30:47,100
Thank you so much for having us.

579
00:30:47,160 --> 00:30:47,960
I hope you guys learned.

580
00:30:47,960 --> 00:30:52,940
Okay, let's give the FGNY a round of applause for
a fantastic demonstration.

581
00:30:54,000 --> 00:30:54,420
Thank you.

582
00:30:54,640 --> 00:30:55,040
Thank you.

583
00:30:55,160 --> 00:30:57,080
Enjoy the rest of your evening.